目的探讨残胃癌的临床特点及其早期诊断和治疗。方法回顾性分析郑州市第六人民医院2001年10月—2008年6月收集的残胃癌患者的临床资料。结果 24例患者均行手术治疗,根治性切除16例,姑息性切除6例,单纯剖腹探查2例。未手术者分别于4个月内死亡;姑息性切除者分别存活6～12个月;根治性切除术后1、3、5年生存率分别为87.5%、62.5%、31.2%。结论残胃癌早期症状多不典型,对胃大部切除术后病人均需定期复查胃镜。一旦发现癌变均需手术治疗,根治性手术可有效提高生存率。 Objective To investigate the clinical features of gastric stump carcinoma and its early diagnosis and treatment. Methods The clinical data of gastric cancer patients collected from October 2001 to June 2008 in the Sixth People’s Hospital of Zhengzhou City were retrospectively analyzed. Results All the 24 patients underwent surgical treatment. There were 16 cases of radical resection, 6 cases of palliative resection and 2 cases of simple laparotomy. Non-operative patients were killed within 4 months; palliative resection were survival of 6 to 12 months; 1, 3, 5-year survival rates after radical resection were 87.5%, 62.5%, 31.2%. Conclusion The early symptoms of gastric stump are atypical, and the gastroscope should be reviewed regularly after the subtotal gastrectomy. Once found to require surgical treatment of cancer, radical surgery can effectively improve the survival rate.